MEDICARE: POHLMAN PAIN ASSOCIATES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1669165338
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POHLMAN PAIN ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	2710 W ATLANTIC AVE
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-4431
Country	:	US
Telephone Number	:	754-206-1877
Fax Number	:	754-229-3866

Provider Business Practice Location Address
First Line	:	1347 E SAMPLE RD STE 101
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33064-6278
Country	:	US
Telephone Number	:	754-206-1877
Fax Number	:	754-229-3866

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DANE C POHLMAN
Credential	:	DO
Telephone Number	:	754-206-1877

Provider Enumeration Date	:	05/30/2023
Last Update Date	:	05/30/2023

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